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<meta name="description" content="{print content('info')/}">

<meta name="keywords" content="{print content('keywords')/}">

<title>在线报名_{print webinfo('webname')/}</title>

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<div class="container">

  {include head/}

 <ul class="nav" id="nav">

<li ><a href="index.html"  >网站首页</a></li>

<li class="fenge"></li>

<li ><a href="htm/gywm/" >关于我们</a></li>

<li class="fenge"></li>

<li><a href="htm/pxkc/" >培训课程</a></li>

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<li ><a href="htm/sxjcy/">实习及创业</a></li>

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<li ><a href="htm/jcjs/" >精彩讲师</a></li>

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<li><a href="htm/cpzx/">婚礼及宴会设计</a></li>

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<li ><a href="htm/xypj/" >学员评价</a></li>

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<li ><a href="htm/xwzx/" >新闻动态</a></li>

<li class="fenge"></li>

<li ><a href="htm/contact/" >联系我们</a></li>

</ul>



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  {include banner/}

  <div class="content">
    {include left/}

    <div class="right">







      <div class="subnav"><span><a name="fufu">您的位置：</a><a href="#">首页</a>&gt;<a href="book.php">在线报名</a></span>



	   <div class="jia_css"> <a href="book.php" style="cursor:pointer;"><span style="font-family:Adobe 楷体 Std R; font-size:28px; color:#0010BE; font-weight:bold; float:left; text-transform:uppercase;">online registration </span><span style="font-family:Adobe 楷体 Std R; font-size:25px; color:#000000; float:left;">&nbsp;在线报名</span></a></div>



	  </div>







      <div class="piclst">







        <div class="about">







		  <p>请您将自己的资料尽最大可能填写详细，以便我们的工作人员可以在第一时间与你取得必要的联系。		 </p>







		  <p>&nbsp;</p>







		  <p>







		<form action="?action=add&lang={print $lang/}" method="post" onsubmit="return createstring();">







      	<table width="611" height="1000" border="0" cellpadding="0" cellspacing="0" class="tab-c">







          <tbody>







		  <tr>







            <td colspan="4" class="tr-01">&nbsp;</td>







          </tr>







		  {if $title}







		   <p><label>课程名称:</label>{print $title/}</p>







	      {/if}	







		   {loop source=get_cate_content('17','0,20','id','','','desc')}







          <tr>







            <td colspan="3"><div align="left">







              <input type="checkbox" name="book_type[]" value="{print $v['title']/}" id="复选框组1_0" class="inp-03">







              {print $v['title']/}</div></td>







            <td width="89"><a href="{print $v['url']/}">查看课程</a></td>







          </tr>







		   {/loop} 







          <tr>







          	<td width="185" class="tt_ziti"><p>姓名</p><p>NAME</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="book_name" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【必填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>联系方式</p><p>CONTACT</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="book_tel" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【必填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>性别</p><p>GENDER</p></td>







          	<td width="172" class="tt_ziti"><input type="radio" class="inp-05" name="sex" value="男">

          	男<input type="radio" name="sex" class="inp-05" value="女">

          	女</td>







          	<td width="165" class="tt_ziti">【选填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>电子邮箱</p><p>E-mail</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="mail" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【必填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>学历</p><p>EDUCATION</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="book_xueli" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【选填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>毕业院校</p><p>GRADUATED FROM</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="book_byyx" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【选填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>专业</p><p>PROFESSIONAL</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="book_zhuanye" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【选填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>城市</p><p>CITY</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="address" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【必填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>从事职业</p><p>OCCUPATION</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="book_cszy" class="inp-04"></td>







          	<td width="165" class="tt_ziti">【选填】</td>







            <td class="tt_ziti"><p>&nbsp;</p></td>







          </tr>







          <tr>







          	<td rowspan="3" class="tt_ziti"><p>汇款方式</p><p>REMITTANCE</p></td>



          





       	  </tr>







          <tr>







            <td colspan="3" class="tt_ziti"><div align="left">







              <input type="radio" name="hkfs" class="inp-07" value="银行汇款">







              银行汇款 （中国建设银行北京玉泉支行     账号：11001018000053004702　）</div></td>







          </tr>







          <tr>







            <td colspan="3" class="tt_ziti"><div align="left">







              <input type="radio" name="hkfs" class="inp-07" value="网银报名">







              网银报名<span class="bby"></span></div></td>







          </tr>







          <tr>







          	<td class="tt_ziti"><p>其他补充内容</p><p>OTHER ADDITIONS</p></td>







          	<td colspan="3" class="tt_ziti"><div align="left">







          	  <textarea tabindex="4" name="book_content" class="tex01"></textarea>







        	  </div></td>







       	  </tr>







          <tr>







          	<td class="tt_ziti"><p>第一次知道顶鑫是通过什么途径</p><p>The first is through what channels to know DIXFS<br />







          	</p></td>







          	<td colspan="3" class="tt_ziti">







            	<div align="left"><span>







            	  <input type="radio" class="inp-07" name="tujing" value="报纸">







            	  报纸</span><span>







            	    <input type="radio" class="inp-07" name="tujing" value="杂志">







            	    杂志</span><span>







            	      <input type="radio" class="inp-07" name="tujing" value="百度">







            	      百度</span><span>







           	          <input type="radio" class="inp-07" name="tujing" value="google">







           	          google </span><span>







           	          <input type="radio" class="inp-07" name="tujing" value="腾讯">







           	          腾讯</span><span>







       	              <input type="radio" class="inp-07" name="tujing" value="搜狐">







       	              搜狐</span><span>







       	              <input type="radio" class="inp-07" name="tujing" value="新浪">







       	              新浪 </span><span>







   	                  <input type="radio" class="inp-07" name="tujing" value="成才网">







   	                  成才网 </span><span>







   	                  <input type="radio" class="inp-07" name="tujing" value="豆瓣">







   	                  豆瓣</span><span>







                      <input type="radio" class="inp-07" name="tujing" value="互动百科">







                      互动百科</span><span>







                      <input type="radio" class="inp-07" name="tujing" value="瑞丽家居">







                      瑞丽家居</span><span>







                      <input type="radio" class="inp-07" name="tujing" value="时尚">







                      时尚</span><span>







                      <input type="radio" class="inp-07" name="tujing" value="朋友推荐">







                      朋友推荐</span><span>







                      <input type="radio" class="inp-07" name="tujing" value="其他">







                  其他</span> </div></td>







       	  </tr>







		  <tr>







          	<td width="185" class="tt_ziti"><p>验证码</p></td>







          	<td width="172" class="tt_ziti"><input type="text" name="code" class="inp-04" style="width:70px;"></td>







          	<td width="165" class="tt_ziti"><img style="display:block; float:left; cursor:pointer" src="../../admin/admin_code.php" border="0" id="code"/></td>







            <td class="tt_ziti"><p>【必填】</p></td>







          </tr>







		  <tr>







          	<td width="185" class="tt_ziti"><p>&nbsp;<input id="k2" type="checkbox" onclick="javascript:autoAdd()">&nbsp;<a href="show_list.php?id=34" style="color:red">已查看并同意入学报名须知</a></p></td>







          	<td colspan="3" class="tt_ziti">







			    <input type="hidden" name="addtime" value="2012-09-23">







				<input type="hidden" name="pr_id" value="{print $pr_id/}"/>







				<input type="submit" id="k1" disabled="disabled" class="bmsub" value="提 交">







				<input type="reset" class="bmsub" value="重 填">







			<input type="hidden" name="_Fs_sign" value="form1">			<p>&nbsp;</p></td>







          	</tr>







        </tbody></table>







		<script language="javascript">



function autoAdd()



{







	if(document.getElementById("k2").checked==false)







	{







		document.getElementById("k2").checked = false;







		document.getElementById("k1").disabled = true;







	}







	else







	{







		document.getElementById("k2").checked = true;







		document.getElementById("k1").disabled = false;







	}







}







</script>







		</form></p>







        </div>







      </div>







      <div class="lstPager"><a href="#"></a></div>







    </div>







  </div>







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